Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 12009 | Date 30/03/2023 |
| Token No | SM/22-23/20923 30/03/2023 | Serial | 019 Last Visit: 13/04/2024 |
| Patient Name | Mrs. BASANA GHOSH | Contact No | |
| Address | GOSWAMI STREET, | Age | 67 Years,3 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||